HomeMy WebLinkAboutT15N R1W SEC 9 LT 69A
GRE ' iR ANCHORAGE AREA BOR
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME_~,////~¢,~¢~/¢'',.~ /(~2¢~'¢/V~ MAILING ADDRESS ..,~,~¢~1 I,.,,~0¢ ¢~7 [~l/./f~.~?/,~/~ PHONE~ICL.~
LOCATION ¢¢/~2F ¢~,-/~f¢'~ ~/~2~/ ~D. LEGAL DESCRIPTIONJ¢~""~"¢,~]
SEPTIC TANK:
DISTANCE NUMBER OF
FROM WELL ¢(~ ! MANUFACTURER ~/Z//~,,4¢~.,,~.¢~ MATERIAL /_~,e',,'¢¢~ ,"(,/.~'~. COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH
__ LIQUID DEPTH
LIQUID CAPACITY .~¢[¢g)_ GALLONS.
TILE DRAIN F-I-E'Ld3:
DISTANCE FROM WELL
NUMBER OF LINES_
ABSORPTION AREA __
DEPTH: TOP OF TILE TO FINISH GRADE
NEAREST LOT LINE
FOUNDATION
DISTANCE BETWEEN LINES TRENCH WIDTH
SQ, FT. LENGTH OF EACH LINE ._~
DEPTH OF F~LTER
BATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES ~¢~
TOTAL EFFECTIVE
IN. ABOVE TILE __ IN.
WELL:
TYPE JDR//L
BUILDING
FOUNDATION
CESSPOOL ~
APPROVED
CONSTRUCTION ,~ Z'-~,~'/),'~gD - DEPTH
DISTANCE FROM:
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINE 73 ~"'~, TANK__,~O SYSTEM
OTNER SOURCES
DISAPPROVED--
__REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS: '~:)/'~' /'~'.-~7' O~3~~'X~'
Form EQ-032
GRE, ER ANCHORAO~ AREA BO[ UGH
PERMIT NO.
DEPARTMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT
NAME OF APPLICANT ~--~-/'//~,~/.,J~--.-~ '~'~(',~/ MAILING ADDRESS
INSTALLATION LOCATION -
, OTHER
NOTE~ THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED ~L
FINAL iNSPECTION: 24 HOUR NOTICE REQUIRED. BACKF]LL[N~ OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE ~ /~ ~TYPE ~~E SEEPAGE AREA SIZE TYPE
DIAGRAM OF SYSTEM
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE F~_ , DRAIN FIELD
WEll TO SEPTIC TANK /~}tv ~ /~ , SEEPAGE ~
WATER MAfN TO SEPTIC TANK -- SEEPAGE PIT
DRAIN FIELD
., SEEPAGE~ ., DRAIN FIELD
SEPTIC TANK, //d'~ ! ~ ~'~ /
TO RIVER, LAKE, STREAM,
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION,
I CERTIFY THAT [ AM FAMILIAR W]TH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-08 AND THAT THE ABOVE
DATE APPLICANT'S SIGNATURE_ ~
FORM NO, E~1-o16
0 Et E GEOTECHNICAL Et DEVELOPMENT CO.
Russell Oyster
694*2774
Soils 8- Foundations
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Performed for:
Legal Description: ~7- J?~ /
Depth (feet)
0
1
3
4
5
6
7
8
9
lO
ll
12
Ground Water Encountered: Yes
SOIL LOG
Name: ~H/)~g~$ //, z~ ~*o~/
Mailing Address: dr4~ ~ou~-~ ~ ~
Tel. No,
Sol) Gharacteristics
v If yes, what dapth
Drain Fte~d /
Date:
No
Proposed Installation: Seepage Pit
Comments:
P,rfo.ed bY:/~7 ~ Y ~K~'~
Ear/Ellis
688-2280
Land Development
~fd~ 7
FJ ~r ,/Z,
GREATER ANCHORAGE ArEA BoRoUgH
pERMIT NO.
SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT _
DEPARTMENT Of ENviRONMENTAL QUALIT ~JECT TO
'-- TYPE
~ TYPE
SEPTIC TANK sIZE *
MINIMUM DISTAN(:ES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
DIAGRAM OF sySTeM